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1639974207 NPI number — TONYA MICHELLE GRIFFITH-BULLARD

NPI Number: 1639974207
Health Care Provider/Practitioner: TONYA MICHELLE GRIFFITH-BULLARD

Information about “1639974207” NPI (TONYA MICHELLE GRIFFITH-BULLARD) exists in 1639974207 in HTML format HTML  |  1639974207 in plain Text format TXT  |  1639974207 in PDF (Portable Document Format) PDF  |  1639974207 in an XML format XML  formats.

NPI Number : 1639974207 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639974207",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRIFFITH-BULLARD",
    "FirstName": "TONYA",
    "MiddleName": "MICHELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GRIFFITH-MURPHY",
    "OtherFirstName": "TONYA",
    "OtherMiddleName": "MICHELLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 5102",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLEVELAND",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44101-0102",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "216-600-6245",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7305 CARSON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLEVELAND",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44104-4127",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "216-600-6245",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/17/2025",
    "LastUpdateDate": "02/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "175T00000X",
        "TaxonomyName": "Peer Specialist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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